HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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`'` Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential XX
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Replace Garage Doors
PROPOSED IMPROVEMENT LOCATION:
Address: 1740 Buttonbush Cr Palm City, FL 34990
Property Tax ID #: 4426-835-0016-000-9 Lot No.26/37S/40E
Site Plan Name: Block No.
Project Name: _ _-
`DETAILED DESCRIPTION OF WORK:
Remove existing garage doors and replace
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION: k
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ _ �, �`'. �� -: Utilities: —Sewer _Septic Building Height:,
OWNER/LESSEE: CONTRACTOR:
Name Samuel & Barbara Stettler Name: Katherine LaDeene Dodson
Address:1749 NW Buttonbush Circle Company:Agler Kitchen, Bath & Floors, Inc
City: Palm City State: Address:1970 NW Federal Hwy
Zip Code: 34990 Fax. City: Stuart State: FL
Phone No.908-930-1745 Zip Code: 34990 Fax: 772-692-0070
E-Mail: Phone N0772-692-0077
Fill in fee simple Title Holder on next page ( if different E-Mail ladeene@aglerinteriors.com
from the Owner listed above) State or County License CBC1250637
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
MORTGAGE COMPANY: xx Not Applicable
Name:
DESIGNER/ENGINEER: xx Not Applicable
Name:
Address:
Address. -
City: State:
Zip: Phone
City: State:
Zip: Phone:
BONDING COMPANY: xx Not Applicable
Name:
FEE SIMPLE TITLE HOLDER: xx Not Applicable
Name:
Address:
_
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Horne Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording your Notice of Commencement.
4.4- M_ �402,41,
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor License Holder
STATE OF FLORIDA STATE OF FLORW
COUNTY OF �k COUNTY OF ``
sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
Physical Presence or Online Notariz --& Physical Pres ce or Online Notarizat'
this ]& day of . rl.AOD,-A4 202i by this day of 2020 by
Name of person making statement. Name of person making statement. ZR
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Personally Known % OR Produced Identif€ &?p Personally Known- OR Produced Identifica i
Type of Identification 4 Type of Identification
Produced Produced
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of Notary Public- State of Florida `'' "' b'
(Signature Y � ;�' ° = (Signature of Notary Public- State of Florida)
Commission No. G6% Seal �( ,;►+�'y C"� �� - ••.•Y
_ ) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS [VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE I
COMPLETED
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